NPIMap

Individual provider Active NPI

Lisa Marie Drennen, CRNP

  • Nurse Practitioner
  • Windber, PA
National Provider Identifier
1093915381
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN533804 Issued in PA
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-3176
Fax
(814) 467-3177
NPI assigned
Jul 24, 2007
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009488 PA
Nurse Practitioner 363L00000X RN533804 PA Primary

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

136 Jaycee Drive
Suite 10
Johnstown, PA 15904-3650
Phone (814) 467-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170531000679 PA Practitioner - Nurse Practitioner 4789951450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gynecology Care Specialists LLCGroup PAC ID 7315335767, 3 clinicians

Practice addresses (Care Compare)

136 Jaycee Dr
Suite 10
Johnstown, PA 15904-3650
Phone (814) 961-6180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN533804PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Nurse Practitioner CurrentSince Mar 26, 2017 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Feb 27, 2019 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Nurse Practitioner Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Feb 27, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Gynecology Care Specialists, LLC CurrentSince Oct 20, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1111 Franklin St
Ste 210
Johnstown, PA 15905
Phone (814) 534-5760

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

136 Jaycee Dr
Ste 10
Johnstown, PA 15904
Phone (814) 467-4055

Interoperability endpoints

  • Direct secure messaging: lisadrennencrnp@mygynecare.medentdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1093915381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JAYCEE DRIVE",
            "address_2": "SUITE 10",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043650",
            "telephone_number": "814-467-3176",
            "fax_number": "814-467-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3176",
            "fax_number": "814-467-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNEN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009488",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN533804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.